Attachment – Recurring Update Notification - Centers for Medicare ...
Attachment – Recurring Update Notification - Centers for Medicare ...
Attachment – Recurring Update Notification - Centers for Medicare ...
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Organ or Disease Oriented Panel Codes<br />
Similar to prior years, the 2008 pricing amounts <strong>for</strong> certain organ or disease panel codes and evocative/suppression<br />
test codes were derived by summing the lower of the fee schedule amount or the NLA <strong>for</strong> each individual test code<br />
included in the panel code. The national limitation amount field on the data file is zero-filled.<br />
The CPT Editorial Panel created code 80047 Basic metabolic panel (Calcium, ionized) which is an automated<br />
multi-channel chemistry (AMCC) code. New code 80047 is comprised of eight component test codes (see below).<br />
Also, new code 80047 is not a replacement <strong>for</strong> code 80048 Basic metabolic panel. Both codes 80048 and 80047<br />
are included in the 2008 clinical laboratory fee schedule. Business requirement 5813.5 provides instructions <strong>for</strong><br />
payment of new code 80047 effective January 1, 2008. Additional business requirements to update the automated<br />
multi-channel chemistry code (AMCC) Panel Payment Algorithm will be issued in a separate instruction with<br />
timeframes <strong>for</strong> implementation.<br />
80047 Basic metabolic panel (Calcium, ionized)<br />
• Calcium; ionized (82330)<br />
• Carbon dioxide (82374)<br />
• Chloride (82435)<br />
• Creatinine (82565)<br />
• Glucose (82947)<br />
• Potassium (84132)<br />
• Sodium (84295)<br />
• Urea Nitrogen (BUN) (84520)<br />
In accordance with the Internet Only Manual 100-04, 40.6.1, the new panel code 80047 cannot be billed <strong>for</strong><br />
services ordered through an ESRD facility. All tests billed <strong>for</strong> services ordered through an ESRD facility must be<br />
billed individually, not in an organ disease panel.<br />
Mapping In<strong>for</strong>mation<br />
New code 80047 is priced at the same rate as code 80048.<br />
Note: Final payment is determined by the automated multi-channel chemistry (AMCC)<br />
Panel Payment Algorithm.<br />
New code 82310QW is priced at the same rate as code 82310.<br />
New code 82565QW is priced at the same rate as code 82565.<br />
New code 82610 is priced at the same rate as code 83883.<br />
New code 83655QW is priced at the same rate as code 83655.<br />
New code 83993 is priced at the same rate as code 83631.<br />
New code 84704 is priced at the same rate as code 84702.<br />
New code 86356 is priced at the same rate as code 86361.<br />
New code 87500 is priced at the same rate as code 87641.